Yes. Some transgender men can become pregnant if they have the reproductive organs needed to carry a pregnancy. Testosterone is not contraception: pregnancy can occur even when periods have stopped. It should not be used during pregnancy because it can harm fetal development. NHS: Testosterone and pregnancy.
Pregnancy depends on anatomy, not gender identity
Not every trans man has a uterus or ovaries, and not everyone with those organs can conceive. Fertility treatment may be an option. A personal assessment matters more than assumptions based on someone’s appearance or how long they have been transitioning. ACOG: Talking with patients about gender-affirming care.
Planning a pregnancy while taking testosterone
If you want to conceive, discuss testosterone and any other medicines with the clinician who prescribes them. The NHS advises people trying for a baby to speak to their doctor about stopping testosterone. Do not use an online timeline as a substitute for a medication plan. NHS: Testosterone and pregnancy.
What to discuss before trying
Your consultation can cover fertility questions, contraception until you are ready and a referral to discuss preservation options. ACOG describes the role an ob-gyn can play in helping with fertility and pregnancy care. ACOG: Talking with patients about gender-affirming care.
Questions to take to your appointment
- Who will coordinate my hormone and pregnancy care?
- Which words should the team use for my body and identity?
- What support is available during appointments, birth and after delivery?
This guide explains the possibility of pregnancy; it cannot predict an individual person’s fertility or pregnancy outcome.